Determinants of Low Birth Weight in Rural Areas of North West in Iran: 2013-2017 (A Case-Control Study)

2019 ◽  
Author(s):  
Hosein Rafiemanesh ◽  
Seyed Rasoul Hashemi Aghdam ◽  
Avaz Safarzadeh ◽  
Sanaz Chapar ◽  
Alireza Zemestani ◽  
...  

Abstract Background Low birth weight (LBW) is one of the main causes of death in children and is an important factor related to the growth and development of children. LBW is associated with causes but some of the risk factors may be due to the country or geographical region. Aim of this study was conducted to investigate the risk factors associated with LBW in the villages of Oskou county, northwest of Iran. Methods This study is a population-based case-control study and all the cases of LBW, that have occurred during the five years 2013-2017 in all villages of Oskou county, East Azerbaijan Province, Iran. Controls were selevted based on systematic random sampling in that same village and year. Chi-square and fisher's exact test analysed and then a univariate and multivariate logistic regression model was used to investigate possible factors. Results In this study 242 cases and 242 control groups were analyzed. Base on multivariate logistic regression important risk factors were LBW history (OR=25.87), mothers who used natural methods of contraception (OR=29.54), twin's birth (OR=24.04) and gestational age less than 37 weeks (OR=3.89). Conclusion According to the result of the present study the most important risk factors of LBW are as follows: Contraception method using, having a history of previous LBW newborn, twin's birth, gestational age, fathers’ occupation, mothers’ education, maternal weight, maternal weight gain during pregnancy and number of of caring during pregnancy.

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Saneep Shrestha ◽  
Sandeep Shrestha ◽  
Upasana Shakya Shrestha ◽  
Kamala Gyawali

Background. Low birth weight (LBW) is defined as the birth weight of live born infants below 2500 g, regardless of gestational age. It is a public health problem caused by factors that are potentially modifiable. The purpose of this study was to determine the socioeconomic, obstetric, and maternal factors associated with LBW in Lumbini Provincial Hospital, Nepal. Methods. The study was conducted using case control study design with 1 : 2 case control ratio. A total of 105 cases and 210 controls were taken in this study. Data were entered on Epi data software version 3.1 and exported to Statistical Package for Social Science (SPSS) software version 25 for analysis. Characteristics of the sample were described using mean and standard deviation. Bivariate analysis was done to assess the association between dependent and independent variables. The ultimate measure of association was odds ratio. Variables found to be associated with bivariate analysis were entered into a multivariable logistic regression model to identify predictors of LBW. Results. The mean age of the participants was 25.98 years with ±4.40 standard deviation. Mothers with literate educational background (AOR 0.32, 95% CI 0.13–0.81), housewife (AOR 2.63, 95% CI 1.11–6.20), vaginal mode of delivery (AOR 0.45, 95% CI 0.25–0.82), gestational age <37 weeks (AOR 2.51, 95% CI 1.15–5.48), history of LBW (AOR 5.12, 95% CI 1.93–13.60), and maternal weight <50 kilograms (AOR 2.23, 95% CI 1.23–4.02) were significantly associated with LBW. Conclusion. Educational and occupational status, mode of delivery, gestational age, maternal weight, and history of LBW were found to be independent predictors of LBW. There is need of developing coordination with education sector for increasing educational status of mothers and adolescent girls. Social determinants of health need to be considered while developing interventional programs. Similarly, interventional programs need to be developed considering identified predictors of low birth weight.


2021 ◽  
Author(s):  
Temesgen Tilahun ◽  
Hailu Hailemariam

Abstract Background: Many studies had been conducted on the epidemiology of low birth weight (LBW) in high-income countries, however in countries like Ethiopia such evidence is scarce. The objective of this study was to assess the risk factors for LBW in Sidama zone.Method: Hospital-based case-control study design with a total sample size of 480, 96 cases, and 384controls from March to June 2018. Newborns were selected from three hospitals in the zone using simple random sampling techniques. Data were collected using a pretested questionnaire. Anthropometric measurements were made by following standard procedure. Risk factors for LBW were identified using multivariable logistic regression analysis. The output is presented using an adjusted odds ratio (AOR) with a 95% confidence interval (CI). Result: Multivariable logistic regression analysis shows that urban place of residence [AOR=2.55(95% CI=1.15-5.82], mothers who did not have iron supplement during pregnancy [AOR=12.5(95 CI=5.06-31.0)], premature birth [AOR=2.78 (95% CI= (1.27-6.06)] and history of pregnancy complication[AOR=7.60(2.03-28.45)] were found to be significant determinants of LBW. Conclusion: Since the prevalence of LBW was more prominent in rural areas than their urban counterparts, socio-economic empowerment of rural women and community-based nutrition promotions programs should be given special emphasis. Strengthening efforts on availing basic health services and promoting education on nutrition during pregnancy also have positive inputs. Iron supplementation and nutritional assessment of women during ANC follow-up and providing interventions accordingly should be strengthening in all health facilities.


Author(s):  
Heidi K. Al-Wassia ◽  
Shahd K. Baarimah ◽  
Asmaa H. Mohammedsaleh ◽  
Manal O. Alsulami ◽  
Ragad S. Abbas ◽  
...  

Objective Low birth weight (LBW) infants (<2,500 g) continued to be a global health problem because of the associated short- and long-term adverse outcomes. The study aimed to determine the prevalence, risk factors, and short-term outcomes of term LBW infants Study Design A prospective and case–control study. All infants born consecutively from September 1, 2018 to August 31, 2019 were included. Cases, term LBW infants, were 1:1 matched to controls, appropriate for gestational age (AGA) term infants. Major congenital or chromosomal anomalies and multiple pregnancies were excluded. Results The prevalence of term LBW in the studied period was 4.8%. Mothers of term LBW infants had significantly lower body mass index (p = 0.05), gained less weight (p = 0.01), had a history of previous LBW (p = 0.01), and lower monthly income (p = 0.04) compared with mothers of term AGA infants even after adjustment for confounders. A nonsignificant higher number of term LBW infants needed NICU admission, while their need for phototherapy was deemed significant. Conclusion We identified nutritional and socioeconomic maternal factors that are significantly associated with LBW infants and should be targeted during antenatal visits to improve neonatal outcomes. Key Points


Author(s):  
Miguel Delgado-Rodríguez ◽  
Rocío Pérez-Iglesias ◽  
Montserrat Gómez-Olmedo ◽  
Aurora Bueno-Cavanillas ◽  
Ramón Gálvez-Vargas

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213054 ◽  
Author(s):  
Tesfahun Mulatu Wachamo ◽  
Nigus Bililign Yimer ◽  
Asmamaw Demis Bizuneh

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Abdallah Oulmaati ◽  
Stephane Hays ◽  
Mohamed Ben Said ◽  
Delphine Maucort-Boulch ◽  
Isabelle Jordan ◽  
...  

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Habtamu Demelash ◽  
Achenif Motbainor ◽  
Dabere Nigatu ◽  
Ketema Gashaw ◽  
Addisu Melese

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